Due to the Western society regarding big muscular men as healthy and ideal, some people may not be able to notice when someone goes too far. And due to the expectation in society that men are supposed to be unconcerned with their appearance, some believe MD is a medicalised label for vanity. This is very inacurate as people with MD feel inadequate with their physique and these perceptions stimulate thoughts, feelings and behaviours that lead to physical, psychological and social impairment (Tod, Edwards & Cranswick., 2016)